| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,733 |
12,164 |
$1.00M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,924 |
2,534 |
$135K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
648 |
590 |
$60K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
366 |
349 |
$31K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
230 |
217 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
171 |
161 |
$16K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
866 |
849 |
$10K |
| 90677 |
|
12 |
12 |
$4K |
| 99354 |
|
12 |
12 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,468 |
1,430 |
$905.14 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$876.78 |
| 90687 |
|
469 |
466 |
$773.92 |
| 86580 |
|
127 |
127 |
$735.26 |
| 90689 |
|
102 |
102 |
$675.00 |
| 36406 |
|
30 |
27 |
$342.34 |
| 90756 |
|
151 |
149 |
$267.53 |
| 90732 |
|
66 |
65 |
$194.92 |
| 90688 |
|
180 |
175 |
$106.98 |
| 90657 |
|
59 |
59 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 90698 |
|
24 |
24 |
$0.00 |
| 90632 |
|
12 |
12 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 90670 |
|
53 |
53 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90461 |
|
197 |
195 |
$0.00 |
| 90658 |
|
104 |
104 |
$0.00 |
| 90734 |
|
48 |
48 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90649 |
|
32 |
32 |
$0.00 |
| 90633 |
|
24 |
24 |
$0.00 |